These Are the Fittest Cities in America for 2025

July 24, 2025

The American College of Sports Medicine (ACSM), in partnership with the Elevance Health Foundation, has released the 2025 American Fitness Index, a comprehensive report ranking the 100 largest U.S. cities using 35 evidence-based health and environmental indicators. This year’s findings reveal encouraging trends: aerobic activity is up nearly 9% nationwide, with 94 cities showing improvement and more residents meeting strength activity benchmarks as well. However, these gains are offset by rising food insecurity, reported in 99 of 100 cities and worsening air quality due to wildfires across the U.S. and Canada. Athletech News